A Study on Stress, Coping Skill, Suicide Risk and Suicidal Ideation according to Treatment Phases of Hospitalized Patients with Schizophrenia

Jin Hee Ham; Kyung Mi Sung

doi:10.12934/jkpmhn.2016.25.4.338

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Ham and Sung: A Study on Stress, Coping Skill, Suicide Risk and Suicidal Ideation according to Treatment Phases of Hospitalized Patients with Schizophrenia

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2016; 25(4): 338-346.

Published online: 30 December 2016

DOI: https://doi.org/10.12934/jkpmhn.2016.25.4.338

A Study on Stress, Coping Skill, Suicide Risk and Suicidal Ideation according to Treatment Phases of Hospitalized Patients with Schizophrenia

Jin Hee Ham¹, Kyung Mi Sung²

¹Department of Nursing, Nuga Hospital, Gimhae, Korea.

²College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Corresponding author: Sung, Kyung Mi. College of Nursing, Gyeongsang National University, 15 Jinju-daero, 816 beon-gil, Jinju 52727, Korea. Tel: +82-55-772-8246, Fax: +82-55-772-8222, sung@gnu.ac.kr

Received 29 July 2016 Revised 20 October 2016 Accepted 24 October 2016

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to evaluate the relationship of stress, coping skill, suicide risk, and suicidal ideation according to treatment phases in patients hospitalized with schizophrenia.

Methods

Participants, 111 patients hospitalized with schizophrenia, were selected from three psychiatric hospitals in G province. Data were collected from March 5 to April 15, 2016 and analyzed using t-test, χ² test, Fisher's exact test, Pearson correlation coefficient, one-way ANOVA, and Scheffé's test analysis with the SPSS/WIN 18.0 program.

Results

Based on NOSIE-30, the treatment phases were divided into Beginning, Intermediate, and Completion stages. Patients in the Intermediate stage showed a higher stress level (F=5.13, p=.007) and active coping skills (F=6.70, p=.002) than patients in other stages. They also showed the highest suicide risk (F=7.42, p=.001), and the patients in the beginning stage had the highest suicidal ideation (F=20.20, p<.001. There were significant relationships between study variables at each stage.

Conclusion

The findings from this study show differences in levels of stress, coping skill, suicide risk, and suicidal ideation according to treatment phases and indicate the need to develop suitable nursing intervention programs according to patients' treatment phases.

Keywords: Schizophrenic, Treatment, Stress, Coping, Suicide

Figures and Tables

Table 1

General Characteristics of the Subjects according to Treatment Phases (N=111)

^*Fisher's exact test.

Table 2

Subdomain Scale for Variables (N=111)

Table 3

Comparison of Stress, Coping Skill, Suicide Risk, and Suicidal Ideation (N=111)

a>b>c : Scheffé test.

Table 4

Correlation of Stress, Coping Skill, Suicide Risk, Suicidal Ideation according to Treatment Phases (N=111)

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